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FRI 2024: It’s time to embrace behavioral health and family support

Tips for fire service leaders looking to foster a culture of wellness

Family on a mental health therapy session

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Editor’s Note: Dr. Rachelle Zemlok presents “The Modern Mandate: Embracing Behavioral Health and Family Support to Better Care for Your Own” at Fire-Rescue International on Thursday, Aug. 15. Learn more and register to attend here.



In today’s demanding environment, the mental and emotional wellbeing of firefighters is more critical than ever. As fire service leaders, it’s imperative to ensure that your personnel not only go home safe but also return to work as their best selves. Addressing firefighter behavioral health is not just a nicety; it is a must in modern times. Leaders must embrace behavioral health and family support as essential methods to support firefighters and enhance their resilience.

Understanding the current state of firefighter wellbeing

Firefighters face a host of mental health challenges, including higher rates of sleep disorders, PTSD, depression and suicidal ideation compared to the general population. The urgency of addressing these issues has never been greater, especially with the recent uptick in firefighter suicides and the nationwide difficulties in recruitment and retention. The newer generation of firefighters places a high value on work-life balance and wellness, making it essential for fire leaders to prioritize their teams’ behavioral health.

The necessity of trauma-informed leadership

Trauma-informed leadership is an approach that recognizes and responds to the effects of all types of trauma. It emphasizes understanding, recognizing, and responding to the signs and symptoms of trauma in individuals, aiming to avoid re-traumatization. This leadership style integrates knowledge about trauma into policies, procedures and practices to create a supportive and understanding environment.

Trauma-informed leaders:

  • Understand the psychological dangers that stress and high trauma pose to their personnel;
  • Implement policy and strategies to mitigate these risks;
  • Provide adequate training for firefighters to manage these challenges effectively; and
  • Ensure the actions they take do not inadvertently exacerbate stress and trauma.

We see through real-life case examples the benefits of adopting trauma-informed principles and the severe consequences of neglecting them.

Breaking the stigma around mental health

One of the greatest barriers to addressing mental health issues among firefighters is the stigma that discourages help-seeking behaviors and the fear of job loss or judgment. Delaying care or ignoring signs leads to more serious impacts, including worsening mental health conditions and decreased job performance.

Early intervention and creating a culture that encourages help-seeking can significantly improve resilience and overall well-being. By addressing these issues head-on, we can ensure our firefighters receive the support they need to thrive both personally and professionally.

Fire service leaders can foster a culture of wellness in several ways:

  • Mental Health Training: Offer workshops and peer support programs to recognize and manage stress and mental health issues.
  • Access to Resources: Provide competent counseling services and Employee Assistance Programs (EAPs) for mental health support.
  • Supportive Environment: Encourage open communication and regular mental health check-ins.
  • Physical Wellness: Promote fitness programs and provide access to nutritional guidance.
  • Family Support: Educate families on mental health and organize family-friendly events.
  • Trauma-Informed Leadership: Train all leaders in the department on trauma awareness and integrate supportive policies.
  • Work-Life Balance: Offer flexible scheduling and ensure adequate rest between shifts.
  • Recognition Programs: Acknowledge and reward positive behavior and participation in wellness programs.
  • Stress Reduction: Introduce mindfulness practices and organize recreational activities.
  • Continuous Improvement: Regularly seek feedback and stay updated on best practices in firefighter wellness.

These strategies help create a supportive and resilient culture that prioritizes the well-being of firefighters.

The role of comprehensive support systems

Behavioral health and family support are critical components of a comprehensive support system. Spouses often serve as the first line of defense for a firefighter’s mental wellness. By educating families on recognizing warning signs and providing appropriate support, we can significantly enhance the well-being of our firefighters. Additionally, it is crucial to acknowledge that family stress directly translates to work stress, making a holistic support approach indispensable.

When challenges move beyond what firefighters can cope with on their own, many find it comforting and helpful to check in first with trained peers, especially if they have never engaged in therapy before. Peer support programs are effective because they provide a familiar and relatable first step toward seeking help. Trained peers understand the unique stresses and experiences of the job, making it easier for firefighters to open up and discuss their challenges. This peer support can serve as a bridge to professional mental health services if needed, reducing the stigma and barriers associated with seeking therapy.

When firefighters seek therapy, it’s crucial that they have a positive experience with clinicians who understand the unique stressors of their job. Investing in the training and education of these key support figures enables fire departments to create a comprehensive network of care. This network ensures that firefighters have the necessary resources to thrive both on and off the job. Clinicians with specialized knowledge of firefighter culture and stressors can provide more effective and relevant support, leading to better outcomes for the mental health and overall well-being of firefighters.

A call to action

Leaders in the fire service must prioritize behavioral health and family support as essential components of their leadership. Doing so ensures the long-term well-being and success of their teams. Taking the first step toward a more resilient and supported firefighting community helps create a culture where mental health and wellness are fundamental aspects of the fire department’s operations.

Prioritizing behavioral health and family support is not just the right thing to do; it is necessary. By embracing these aspects of leadership, we can build a stronger, more resilient firefighting community prepared to face the challenges of today and tomorrow.


Solutions to navigate the most common family-centric concerns voiced by firefighters

Dr. Rachelle Zemlok is a licensed clinical psychologist in California, specializing in work with first responder families. She serves as the strategic wellness director at Lexipol, supporting the content and strategy related to first responder mental health and wellness, with a special focus on supporting spouses and family members through the Cordico Wellness App. Prior to joining Lexipol, Zemlok founded First Responder Family Psychology, which provides culturally competent therapy to first responders and their family members. She is the author of “The Firefighter Family Academy: A Guide to Educate & Prepare Spouses for the Career Ahead.” For more information on Dr. Zemlok or to connect with her please visit her website.